Nineteenth Century Medical Guide

Chapter 119 116. Medical troubles are everywhere
In the early years, the concept of a pharmaceutical factory was still very vague. It was more a product of small drugstores making money and expanding. The scale was small, and it would be good to be responsible for the supply of the city where it was located. It was far from the effect of radiating the surrounding area.At that time, the metaphysical effect of "drugs" could not produce explosive products, and more raw materials were simply processed from chemical factories to optimize the taste.

Large pharmaceutical companies such as Pfizer and Bayer actually started from chemical processing when they were established, and did not really start pharmaceuticals until the beginning of the [-]th century.

With the current business model, Kavi needs to be bundled with the drug production site in the same place, which is easy to control and also conducive to sales.Naples is already far away, let alone the United States, directly across the Atlantic Ocean.

Of course, Carvey has God's perspective, and it is clear that from the moment the Civil War ended, Lao Mei had already taken off the runway.If there is a trusted friend on the other side of the ocean to help, he is willing to build the factory there, so as to avoid the flames of war once and for all.

As for my side, as long as I open an experimental research institute, I can guarantee my usual medication.Subsequent things like expanded production and authorization will be handled by Laszlo after the patents come down.

However, the current "America" ​​is just a very ordinary country in the eyes of the two, and it has just experienced a civil war. This decision of Carvey seems a bit crazy.

"Where are you talking?"

"America, America."

"What are you doing there? It's been a mess all these years, and it's too far away from Europe."

"Then what should I do?"

Kavey also had no choice. After all, building a factory required money. If Laszlo didn't nod, it would only be more troublesome to find someone else.With so many pregnant women waiting to give birth, time is not rich:
"One of you said that you want to fight and change places, and the other said wait. But I am in Vienna, and I have no time to wait for the urgent operation. If it really doesn't work, I can only pack up and leave Europe. The rest of you can go Only America."

The two looked at each other without making a sound.

"I remember that Mr. Laszlo also has business in the United States?"

"Yes, there is. At the beginning, I followed the trend and pulled Chino to dig gold and opened several mines. It is indeed a good place full of business opportunities." Laszlo said, "But they just finished the battle and there are too many uncertainties. Sex, I personally don't recommend going now."

Chino quickly agreed, but he still set his sights on Italy: "I think Naples is better. It is a big port in the first place, and it is far away from right and wrong, and the labor cost is also cheap."

"Come on, going to Italy is better than going to Hungary." Laszlo recalled, always feeling that this Italian friend was using the war to seek benefits for himself, "I don't believe that the Germans can really penetrate Vienna, and Franz's hands The soldiers here don’t eat dry food.”

"I'm also thinking about Mr. Carvey"

Chino didn't want to miss this opportunity to make money, and Laszlo didn't want Kawei to leave.In just half an hour after the ballet ended, the three of them came and went, and finally reached a consensus before the start of the next opera:
The pharmaceutical factory was first established in the suburbs east of Vienna, mainly consisting of two parts.One is the production plant of oxytocin, and the other is a laboratory focusing on drug research and development.

If war really breaks out and threatens the security of Vienna, all the pharmaceutical factories will be moved to Naples.If even Naples is not safe, they can only go to the United States to develop together according to Carvey's intention.

"Qino, it's agreed, the money will be remitted at the end of this month." Laszlo reminded before getting into the carriage, "The work will start in a week, and I have to finish it before the end of May."

"Don't worry." Chino replied, "Investment is not a problem. The key is to recover the cost of building the factory before the war begins."

"We will definitely lose money if we start the war before May, and I can guarantee the return before June. If we are lucky, we may even make a small profit. If the Germans wait until the end of July or fall, it will be a question of how many times the profit will be made." Laszlo already had a drug sales plan in mind, "Risks and benefits coexist. If you can, you should work more in Prussia."

Chino understood.

It is impossible for him to prevent the war, but there are still ways to delay the start of the war.But it depends on whether the sales of the drug are worth it, and there is also a certain element of luck: "I will do my best."

"Of course, according to the agreement with Dr. Carvey, we have the exclusive right to produce and operate the drug for one year. After one year, as long as other people are willing, the drug can be authorized."

Kino still didn't understand why he did this: "Isn't it good to keep all this good business in your own hands? Why should you authorize it to others?"

Carvey will definitely not use the words "let people all over the world have access to affordable medicine" to put himself on the moral high ground: "Sometimes you have too many good things in your hand and you will be envied by others. It is better to let go What's more, licensing can also make money, and this year's manufacturing experience and reputation are enough to beat other manufacturers."

Chino only contributed money for investment, and he didn't know anything about pharmaceuticals and medical treatment.Even if the pharmaceutical factory closes down immediately after making money, he will not have any feelings and will just switch to the next factory.

But since he has made concessions in terms of factory site and sales, Chino will be tougher in other aspects: "I still hope that Dr. Carvey will take more care of the cesarean section, and I hope to appreciate the effect of this miracle medicine before leaving." .”

This matter was discussed for a long time, and neither Carvey nor Laszlo could persuade him.

First of all, Chino really wanted to confirm the efficacy of oxytocin, because there were too many liars, even with Laszlo as the backing, it was difficult to guarantee that Kawei could kill two birds with one stone.Secondly, it was because of his curiosity about Carvey's surgical techniques, so he specially asked the waiter in the theater to find the newspaper on the second day of the operation, hoping to get a good peek from the news reports.

It's a pity that Varela was kicked out of the theater by Carvey that day, and there were only a few revised reports, which seemed as random as writing subtitles for the headlines.He was so angry that he tore up the newspaper on the spot, scolding the newspaper reporter for wasting pen and ink and not doing business.

"This should be my last entertainment in Vienna."

"I'll do my best."

"I live in Room 3023 of the Sala Mensa Hotel on the ring road, and you can find me by giving my name at the front desk."

"Once a time is set, we will notify you as soon as possible."

"Ok."

The three of them got into three carriages, so they left.

After watching the ballet, Chino went to see Beatrice in the dressing room, and he finally settled his worries, so he should go back to the hotel to rest.Laszlo, on the other hand, was not in such a leisurely mood. Franz and Elizabeth had to be informed of the news just now. The direction of the carriage was to go to the palace.

Carvey looks calm, but it's not easy.

Except for the beginning of this meeting, there were differences in other periods of time, or they were looking for ways to disagree.Fortunately, the ending is not bad. At least two months later, Kavey's medication problem can be temporarily solved. Now I can only bear with it and let Savarindo help.

The new obstetrics intern is down-to-earth and capable, but his personality is not suitable for a doctor.

He is indecisive and empathetic too easily. He is more suitable to be alone in the laboratory than to work in the ward where there is discrimination everywhere and you need to look at others.Kawei's pharmaceutical factory focuses on experimental research and development, and will definitely need talents in this field in the future. He is a good candidate.

Carvey had talked to him a few days ago, and Savarin didn't seem to want to give up clinical work yet.

Carvey does not insist, scientific research is much more boring than clinical practice, and it is difficult to persevere without perseverance and pursuit.Then he discussed his salary with Laszlo. According to the income of an obstetrics intern, he increased the salary given by the future pharmaceutical company by 50%. Finally, Savarin had a deeper pursuit of drug research. .

Recently, he has been working hard for the upcoming cesarean section, and has some experience in the production of oxytocin.

However, Savarin alone is definitely not enough, and other workers are needed. Laszlo will find a way in this regard, and Kawei has to find more talents who like drug research.

Before that, he had to find pregnant women who were willing to go to the theater to verify the efficacy of oxytocin. This was the most troublesome problem for Carvey.

The performance nature of the surgical theater made him uncomfortable, but fortunately, the charitable nature of the Li General Hospital finally diluted some moral discomfort.Now let him go to find the parturient and send her to the theater of surgery, and Kavey can only regard it as a purely therapeutic act, without thinking too much about it.

Compared with the moral aspect, the mother itself is the key.

Cesarean section has huge risks, no one is willing to go to the operating table unless it is a last resort, and Carvey will not send women who can give birth naturally to the theater.

All the women lying in their own hospital are pregnant women who have been in labor for at least ten days or more than one or two months. Considering the maturity of the child after birth, Kawei will not move unless it is absolutely necessary, so he has to go to another hospital to find him.

The first thing he thought of was St. Mary's Hospital, where Massimov worked. It used to be the maternity center in Vienna, and almost all the nuns in the church delivered babies.The irregularity of the process rules is another matter, and the penetration rate of this technology alone has already explained the problem.

Only after the obstetrics department of the Municipal General Hospital developed, the slightly backward delivery methods of St. Mary's Hospital gradually fell behind.

But the nuns must be more clean than those doctors who call themselves gentlemen. Washing hands is a very normal thing, so the postpartum mortality rate here must be lower than that of the Municipal General Hospital.

The willingness of pregnant women to stay here is very high, and there are generally only two reasons for them to refuse St. Mary's Hospital.

One is the lack of beds. St. Mary's Hospital does not have a large compound like the Municipal General Hospital, and the beds are very limited.The second is a cesarean section, where narrowed birth canals, placenta previa, and other conditions that may require surgery cannot be treated.

At 05:30 in the afternoon, Carvey approached Massimov, who was confronting him at the School of Surgery, and got such a reply: "We have long stopped accepting cesarean sections here."

Carvey was surprised: "Why?"

"Did I already tell you the reason in the operation theater, I won't!" Massimov said very directly, without any taboo, "So when is your next cesarean section, I must go Take a good look at the surgery theater to see if it's a coincidence."

"Teacher, you have had teratoma removed, didn't you try again?"

"Of course I tried, but so what." Massimov took out the obstetric anatomy atlas that he had already rummaged through, and said with a smile, "God does not want the operation to be successful, and success is naturally a small probability." Incident, I still think that destiny is hard to break."

Carvey originally wanted to come here to find a suitable mother, but he never thought that the search became an invitation: "If I am lucky, I will have a cesarean within five days. If I am unlucky, I will have a cesarean in ten days." There is one."

"Cesarean section has now become your hospital's signature." There was no jealousy in Massimov's eyes, but some advice, "It's a good thing for young people to be capable, but they still need to be steady when things happen. Sometimes they are too drifting and easy to fall .”

"I understand this."

"Where is your operation performed?" Massimov put on his reading glasses, found a piece of paper and asked the address of the operation theater, "Or the Riverside Theater?"

"Well, the theater opened next to the Riverside Theater, the specific time is up."

"No need, there are a few young doctors here who often go to surgery, I will ask them when the time comes."

After leaving St. Mary's Hospital, the hands of the pocket watch on Carvey's body had already passed six o'clock.At this point in time, most of the doctors had already left work, but he still wanted to go to Graze to try his luck.

Although Hills was full of hostility towards himself, Carvey knew very well that he was a very hard-working doctor. Surgery required a lot of practice, and this time may not pass.Moreover, he has a different feeling about the cesarean section. If he asks him to be a helper, maybe things will not be as difficult as he thought.

The carriage walked for 20 minutes from St. Mary's Hospital, and Carvey came to the gate of Graze Hospital.

It does not have the scale of the Municipal General Hospital, nor does it have the church atmosphere of St. Mary's Hospital. Compared with the former two, it is closer to a hospital in the modern sense.The newly built courtyard building does not have too many meaningless artistic sculptures and small tricks, and the overall feeling is simple and unpretentious.

After asking the guard, it turned out that Hills hadn't left yet, and the surgical ward where he was located was in the second ward.

Through a tree-lined path, Carvey soon saw the ward sign.Just as he opened the door and was about to walk in, a familiar voice suddenly came from his ear: "Stop him!"

Carvey looked forward, and there was a chase scene between two gentlemen in front of him.The one who ran in front had blood on his shirt and a lot of blood on his face, and his running posture was slightly awkward, as if he was injured.

And the man behind him, Kavey, will be much more familiar with him, that is Sears.

This kind of strange scene is problematic at first glance. No matter what the reason is, Carvey must trust his former colleagues more.But he was too thin, so he didn't face the door hard, but just moved away a little, and then stretched out his legs at the right time and tripped him to the ground.

"Hurry up and call the guard and the patrolman!" Hills also had a lot of blood on his body, and pressed on the man, "See where you can go?"

"What happened?"

Hills' face was still splattered with blood, and his face was very ugly: "He chopped off our director!"

(End of this chapter)